欢迎来到OAJRC平台!

期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

JCIM. 2021; 1: (8) ; 7-9 ; DOI: 10.12208/ j.jcim.2021.08.004.

Comparative Study of Three-dimensional Time-of-flight Magnetic Resonance Angiography and Digital Subtraction Angiography in the Diagnosis of Intracranial Artery Stenosis
三维时间飞跃法磁共振血管成像与数字减影血管造影对颅内动脉狭窄诊断的对比研究

作者: 张赣*, 刘旺, 刘星, 李梦雅, 王清琛, 李明秀

四川省中医药科学院中医研究所(四川省第二中医医院)

*通讯作者: 张赣,单位:四川省中医药科学院中医研究所(四川省第二中医医院);

发布时间: 2021-04-25 总浏览量: 117

摘要

目的:探讨三维时间飞跃法磁共振血管成像(3D-TOF-MRA)与数字减影血管造影(DSA)对颅内动脉狭窄的诊断效果。方法:选取2019年2月~2021年3月脑缺血症状患者60例,随机分为对照组和观察组,各30例,对照组3D-TOF-MRA诊断,观察组DSA诊断,对比两种方法对颅内动脉狭窄的诊断一致性。结果:两组平均狭窄率对比差异不明显(P>0.05);两组无狭窄、轻度、中度、重度、闭塞诊断符合率对比差异不明显(P>0.05);3D-TOF-MRA对无狭窄、轻度、中度、重度、闭塞的诊断敏感性、特异性、准确性与DSA诊断结果存在高度相关性。结论:3D-TOF-MRA在颅内动脉狭窄程度的诊断上与DSA有良好的一致性,可明确狭窄部位及程度,具有无创性,适用于颅内动脉狭窄的筛查。

关键词: 颅内动脉狭窄;3D-TOF-MRA;DSA

Abstract

Objective:To investigate the diagnostic effect of three-dimensional time-of-flight magnetic resonance angiography(3D-TOF-MRA) and digital subtraction angiography(DSA)in intracranial artery stenosis.
Methods:60 patients with cerebral ischemia symptoms from February 2019 to March 2021 were randomly divided into control group and observation group,30 cases in each group.The control group was diagnosed by 3d-tof-mra,and the observation group was diagnosed by DSA.
Results:There was no significant difference in the average stenosis rate between the two groups(P>0.05);there was no significant difference in the diagnostic coincidence rate of no stenosis,mild,moderate,severe and occlusion between the two groups(P>0.05);the diagnostic sensitivity,specificity and accuracy of 3d-tof-mra for no stenosis,mild,moderate,severe and occlusion were highly correlated with DSA diagnostic results.
Conclusion  :3d-tof-mra has a good consistency with DSA in the diagnosis of intracranial artery stenosis,which can identify the location and degree of stenosis.It is non-invasive and suitable for the screening of intracranial artery stenosis.

Key words: Intracranial Artery Stenosis;3D-TOF-MRA;DSA

参考文献 References

[1]刘新峰,刘锐,朱武生,等.中国缺血性脑血管病非急诊介入治疗术前评估专家共识[J].中华内科杂志,2020,59(4):277-285.

[2]何小辉.缺血性脑卒中患者颅内外动脉狭窄的分布及危险因素分析[J].局解手术学杂志,2019,28(03):192-196.

[3]伍尚坤.旋转DSA三维成像在"一站式"介入治疗脑血管病中的诊断价值[J].空军医学杂志,2019,35(06):510-513.

[4]刘子航,李世星,王月,等.通过3D-TOF-MRA分析Willis环形态改变与颅内动脉瘤的研究进展[J].中国医疗器械信息,2020,26(01):38-39.

[5]王林友,黎元,袁建军,等.磁共振3D-TOF-MRA与DSA对照研究颅内动脉瘤的诊断价值与限度[J].医学研究杂志,2008,37(01):119-121.

[6]韦宝军.DSA图像质量影响因素及旋转DSA造影技术的应用价值[J].中西医结合心血管病电子杂志,2020,8(11):73+94.

引用本文

张赣, 刘旺, 刘星, 李梦雅, 王清琛, 李明秀 三维时间飞跃法磁共振血管成像与数字减影血管造影对颅内动脉狭窄诊断的对比研究[J]. 当代介入医学, 2021; 1: (8) : 7-9.